Organization
ROOT & BRANCH ANESTHESIA P.L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AUSTEN WEEKS DDS (OWNER)
(208) 313-2202
Entity
Organization
Contact information
Practice address
3335 S HOLMES AVE, IDAHO FALLS, ID 83404-7981
(208) 524-3770
Mailing address
1395 E LAZY LN, IDAHO FALLS, ID 83404-7784
(208) 313-2202
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
01/14/2025
Last updated
05/01/2025
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